SOPHIA MARIE HANSON (LISW) – Clinical Social Worker, NPI 1043880420

SOPHIA MARIE HANSON (LISW) is a healthcare provider. based in Sandusky, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I.2506435 (OH). The NPI Number for SOPHIA MARIE HANSON (LISW) is 1043880420

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SOPHIA MARIE HANSON (LISW)
NPI
1043880420
Phone
(419) 502-2800
Address
1912 HAYES AVE
Enumeration Date
29 June 2021
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195022800
Graduation Year
2022 (4 years ago)
PAC ID
7012434889
Group Practice PAC ID
0749345296
Professional Enrollment ID
I20250506000269
Address ID
OH448704736SA1912XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for SOPHIA MARIE HANSON (LISW)

  • 1912 HAYES AVE

    SANDUSKY, OH 448704736

    Phone: (419) 502-2800

    Type: Mailing

  • 315 S COLLEGE DR

    BOWLING GREEN, OH 434024001

    Phone: (419) 352-0702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250506000269IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44870)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749345296View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalOH
Clinical Social WorkerOH
Nurse PractitionerOH
Registered Dietitian Or Nutrition ProfessionalOH
Clinical Social WorkerOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
-OH

Reviews

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Frequently asked questions

How do payers reference SOPHIA MARIE HANSON (LISW)?
For SOPHIA MARIE HANSON (LISW), use NPI 1043880420 as the unique 10-digit identifier.
Is SOPHIA MARIE HANSON (LISW) still an active registrant?
SOPHIA MARIE HANSON (LISW) carries an active NPI according to the public dataset.
What area of care is associated with SOPHIA MARIE HANSON (LISW)?
SOPHIA MARIE HANSON (LISW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Ohio is SOPHIA MARIE HANSON (LISW) registered?
Use Sandusky, Ohio as the headline location for SOPHIA MARIE HANSON (LISW) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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